MedPath

Dexamethasone

Generic Name
Dexamethasone
Brand Names
Baycadron, Ciprodex, Decadron, Dexamethasone Intensol, Dextenza, Dioptrol, Hexadrol, Hidex 6-day Taper, Maxidex, Maxitrol, Neofordex, Ozurdex, Taperdex 12 Day Taper, Taperdex 6 Day Taper, Taperdex 7-day Taper, Tobradex, Zcort 7 Day Taper
Drug Type
Small Molecule
Chemical Formula
C22H29FO5
CAS Number
50-02-2
Unique Ingredient Identifier
7S5I7G3JQL
Background

Dexamethasone, or MK-125, is a corticosteroid fluorinated at position 9 used to treat endocrine, rheumatic, collagen, dermatologic, allergic, ophthalmic, gastrointestinal, respiratory, hematologic, neoplastic, edematous, and other conditions. Developed in 1957, it is structurally similar to other corticosteroids like hydrocortisone and prednisolone.

Dexamethasone was granted FDA approval on 30 October 1958. In a press release for the Randomized Evaluation of COVID-19 Therapy (RECOVERY) trial on 16 June 2020, dexamethasone was recommended for use in COVID-19 patients with severe respiratory symptoms. Dexamethasone reduced deaths by approximately one third in patients requiring ventilation and by one fifth in those requiring oxygen.

Indication

Dexamethasone and ciprofloxacin otic suspension is indicated for bacterial infections with inflammation in acute otitis media and acute otitis externa. Intramuscular and intravenous injections are indicated for a number of endocrine, rheumatic, collagen, dermatologic, allergic, ophthalmic, gastrointestinal, respiratory, hematologic, neoplastic, edematous, and other conditions. Oral tablets are indicated for the treatment of multiple myeloma. An intravitreal implant is indicated for some forms of macular edema and non-infectious posterior uveitis affecting the posterior of the eye. Various ophthalmic formulations are indicated for inflammatory conditions of the eye.

Associated Conditions
Acute Gouty Arthritis, Acute Leukemia, Acute Otitis Externa, Acute Otitis Media (AOM), Adrenocortical Hyperfunction, Adrenocortical Insufficiency, Allergic Conjunctivitis (AC), Alopecia Areata (AA), Ankylosing Spondylitis (AS), Aspiration Pneumonitis, Asthma, Atopic Dermatitis, Berylliosis, Bullous dermatitis herpetiformis, Bursitis, Chorioretinitis, Choroiditis, Congenital Adrenal Hyperplasia (CAH), Congenital Hypoplastic Anemia, Conjunctivitis, Contact Dermatitis, Cushing's Syndrome, Dermatitis, Diabetic Macular Edema (DME), Discoid Lupus Erythematosus (DLE), Drug hypersensitivity reaction, Edema of the cerebrum, Epicondylitis, Episcleritis, Erythroblastopenia, Eye Infections, Eye allergy, Glaucoma, Hypercalcemia, Immune Thrombocytopenia (ITP), Infection, Inflammation, Inflammation of the External Auditory Canal, Intraocular Inflammation, Iridocyclitis, Iritis, Keloids Scars, Keratitis, Lichen Planus (LP), Lichen simplex chronicus, Loeffler's syndrome, Lymphoma, Macular Edema, Meningitis caused by Mycobacterium Tuberculosis, Middle ear inflammation, Mucosal Inflammation of the eye, Multiple Myeloma (MM), Muscle Inflammation caused by Cataract Surgery of the eye, Mycosis Fungoides (MF), Necrobiosis lipoidica diabeticorum, Non-infectious Posterior Uveitis, Ocular Infections, Irritations and Inflammations, Ocular Inflammation, Ocular Inflammation and Pain, Ocular Irritation, Ocular Itching, Ophthalmia, Sympathetic, Optic Neuritis, Otitis Externa, Pemphigus, Perennial Allergic Rhinitis (PAR), Phlyctenular keratoconjunctivitis, Postoperative Infections of the eyes caused by susceptible bacteria, Posttraumatic Osteoarthritis, Regional Enteritis, Rheumatoid Arthritis, Rheumatoid Arthritis, Juvenile, Rosacea, Sarcoidosis, Scleritis, Seasonal Allergic Rhinitis, Secondary thrombocytopenia, Serum Sickness, Severe Seborrheic Dermatitis, Stevens-Johnson Syndrome, Synovitis, Systemic Lupus Erythematosus, Tenosynovitis, Trichinosis, Tuberculosis (TB), Ulcerative Colitis, Uveitis, Vernal Keratoconjunctivitis, Acquired immune hemolytic anemia, Acute rheumatic carditis, Anterior eye segment inflammation, Corticosteroid-responsive dermatoses, Ear infection-not otherwise specified caused by susceptible bacteria, Exfoliative erythroderma, Granuloma annulare lesions, Non-suppurative Thyroiditis, Ocular bacterial infections, Severe Psoriasis, Steroid-responsive inflammation of the eye, Swelling of the eyes, Varicella-zoster virus acute retinal necrosis, Watery itchy eyes
Associated Therapies
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CB-839 HCl in Combination With Carfilzomib and Dexamethasone in Treating Patients With Recurrent or Refractory Multiple Myeloma

Phase 1
Active, not recruiting
Conditions
Refractory Multiple Myeloma
Recurrent Multiple Myeloma
Interventions
First Posted Date
2019-01-10
Last Posted Date
2024-12-16
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
36
Registration Number
NCT03798678
Locations
🇺🇸

Yale University, New Haven, Connecticut, United States

🇺🇸

Ohio State University Comprehensive Cancer Center, Columbus, Ohio, United States

🇺🇸

Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, United States

and more 2 locations

Ruxolitinib Combined With Dexamethasone for HLH

Phase 1
Conditions
Hemophagocytic Lymphohistiocytosis
Interventions
First Posted Date
2019-01-08
Last Posted Date
2019-01-08
Lead Sponsor
Capital Research Institute of Pediatrics
Target Recruit Count
50
Registration Number
NCT03795909
Locations
🇨🇳

Yan Yue, Beijing, China

Lenalidomide, Rituximab, Gemcitabine, Oxaliplatin and Dexamethasone in Relapse and Refractory DLBCL

Phase 1
Conditions
Diffuse Large B-cell Lymphoma Recurrent
Diffuse Large B Cell Lymphoma Refractory
Interventions
First Posted Date
2019-01-07
Last Posted Date
2019-02-15
Lead Sponsor
The First Affiliated Hospital with Nanjing Medical University
Target Recruit Count
12
Registration Number
NCT03795571
Locations
🇨🇳

The first Affiliated Hospital Of Nanjing Medical University(JiangSu Province Hospital, Nanjing, Jiangsu, China

A Study of Venetoclax Plus Lenalidomide and Dexamethasone for the Treatment of Newly Diagnosed t(11;14)-Positive Multiple Myeloma in Subjects Who Are Ineligible for High-Dose Therapy

Phase 2
Withdrawn
Conditions
Multiple Myeloma
Interventions
First Posted Date
2018-12-24
Last Posted Date
2019-08-28
Lead Sponsor
AbbVie
Registration Number
NCT03785184
Locations
🇦🇺

St. Vincents Hosp Melbourne /ID# 210266, Fitzroy, Victoria, Australia

🇨🇦

Hopital Maisonneuver-Rosemont /ID# 208550, Montreal, Quebec, Canada

🇦🇺

Austin Hospital /ID# 210268, Heidelberg, Victoria, Australia

and more 19 locations

LCI-HEM-MYE-CRD-004 (MMRC-073 CARJAK): Study of CRD for Carfilzomib-Refractory Multiple Myeloma

Phase 1
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2018-12-12
Last Posted Date
2024-08-16
Lead Sponsor
Wake Forest University Health Sciences
Target Recruit Count
12
Registration Number
NCT03773107
Locations
🇺🇸

Karmanos Cancer Institute, Detroit, Michigan, United States

🇺🇸

Levine Cancer Institute, Charlotte, North Carolina, United States

Role of Dexamethasone for Erector Spinae Plane Block in Patients Undergoing Total Abdominal Hysterectomy

Not Applicable
Completed
Conditions
Postoperative Pain
Interventions
First Posted Date
2018-12-10
Last Posted Date
2020-08-05
Lead Sponsor
Aswan University Hospital
Target Recruit Count
150
Registration Number
NCT03769818
Locations
🇪🇬

Aswan University, Aswan, Egypt

Role of Dexamethasone in Transversus Abdominis Plane Block After Cesarean Section

Not Applicable
Completed
Conditions
Cesarean Section
Interventions
First Posted Date
2018-12-07
Last Posted Date
2020-08-05
Lead Sponsor
Aswan University Hospital
Target Recruit Count
120
Registration Number
NCT03767920
Locations
🇪🇬

Aswan University, Aswan, Egypt

Dexamethasone in Refractory or First Relapsed Acute Myeloid Leukemia

Phase 3
Recruiting
Conditions
Relapsed or Refractory Acute Myeloid Leukemia
Interventions
First Posted Date
2018-12-05
Last Posted Date
2023-09-21
Lead Sponsor
University Hospital, Toulouse
Target Recruit Count
142
Registration Number
NCT03765541
Locations
🇫🇷

Institut Paoli Calmettes, Marseille, France

🇫🇷

CHU de Limoges, Limoges, France

🇫🇷

CHU de Bordeaux, Pessac, France

and more 7 locations

High-Dose Steroid for Knee Arthroplasty Patients Expected to Have Postoperative Pain

Phase 4
Completed
Conditions
Postoperative Pain
Postoperative Nausea and Vomiting
Knee Osteoarthritis
Perioperative/Postoperative Complications
Surgery
Opioid Use
Catastrophizing Pain
Chronic Pain
Interventions
First Posted Date
2018-12-04
Last Posted Date
2021-06-30
Lead Sponsor
Copenhagen University Hospital, Hvidovre
Target Recruit Count
88
Registration Number
NCT03763734
Locations
🇩🇰

Hvidovre Hospital, Capital Region of Denmark., Hvidovre, Denmark

🇩🇰

Vejle Sygehus, Vejle, Denmark

High-Dose Steroid for Hip Arthroplasty Patients Expected to Have Postoperative Pain

Phase 4
Completed
Conditions
Opioid Use
Chronic Pain
Hip Osteoarthritis
Perioperative/Postoperative Complications
Catastrophizing Pain
Postoperative Pain
Postoperative Nausea and Vomiting
Surgery
Interventions
First Posted Date
2018-12-04
Last Posted Date
2021-06-30
Lead Sponsor
Copenhagen University Hospital, Hvidovre
Target Recruit Count
160
Registration Number
NCT03763760
Locations
🇩🇰

Hvidovre Hospital, Capital Region of Denmark., Hvidovre, Denmark

🇩🇰

Vejle Sygehus, Vejle, Denmark

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